Spondylolisthesis: Symptoms, Causes, and Treatment

How we reviewed this article: · Healthline

What is spondylolisthesis?

Spondylolisthesis is a spinal condition that affects the

lower vertebrae

(spinal bones). This disease causes one of the lower vertebrae to slip forward onto the bone directly beneath it. It’s a painful condition but treatable in most cases. Both therapeutic and surgical methods may be used. Proper exercise techniques can help you avoid this condition.

The symptoms of spondylolisthesis vary. People with mild cases may not have any symptoms. However, those with severe cases may be unable to perform daily activities. Some of the most common symptoms are:

persistent

lower back pain

stiffness in your back and legs

lower back tenderness

thigh pain

tight hamstring

and buttock muscles

Causes of spondylolisthesis vary based on age, heredity, and lifestyle. Children may suffer from this condition as the result of a

birth defect

or injury. However, people of all ages are susceptible if the condition

runs in the family

. Rapid growth during adolescence may also be a contributing factor.

Playing sports may also cause your strain to overstretch and put stress on your lower back. The following sports are especially likely to cause this condition:

football

gymnastics

track and field

weightlifting

Spondylolysis is often a precursor to spondylolisthesis. Spondylolysis occurs when there is a

fracture

in a vertebra, but it hasn’t yet fallen onto a lower bone in your spine.

Physical exams are the first step in diagnosing this condition. If you have spondylolisthesis, you may have difficulty raising your leg straight outward during simple exercises.

X-rays

of your lower spine are crucial for determining whether a vertebra is out of place. Your doctor may also look for any possible bone fractures on the X-ray images.

Your doctor may order a more detailed

CT scan

if the misplaced bone is pressing on your nerves.

The treatment for spondylolisthesis depends on your severity of pain and vertebra slippage. Nonsurgical treatments can help ease pain and encourage the bone to go back into place. It’s important to avoid contact sports during the healing process.

Common nonsurgical treatment methods include:

wearing a back brace

doing physical therapy exercises

taking over-the-counter or prescription

anti-inflammatory drugs

(such as ibuprofen) to reduce pain

using epidural steroid injections

Surgical correction of the misplaced vertebra is required when the bone has slipped so far down that your spine doesn’t respond to nonsurgical therapies. Surgery is also required if the bones of your spine are pressing on your nerves.

Your doctor will work to stabilize your spine by using a bone graft and metal rods. They may insert an internal brace to help support the vertebra while it heals.

After the spinal fusion is complete, it will take four to eight months for the bones to fully fuse together. The success rate of the surgery is very high.

Medical intervention is crucial for relieving symptoms of spondylolisthesis. This condition can cause

chronic pain

and permanent damage if left untreated. You may eventually experience weakness and leg

paralysis

if nerves have been damaged. Infection of the spine may also occur in rare cases.

Kyphosis

, also called roundback, is a possible complication in which the upper portion of the spine falls off of the lower half, causing increased forward spinal angulation.

If you think you’re experiencing symptoms of spondyloslisthesis, it’s important to talk to your doctor right away. Early treatment measures can alleviate most symptoms of this condition. According to an article published in

Neurosurgical Focus

, most people with spondylolisthesis respond well to conservative nonsurgical treatment.

Your doctor will talk to you about your options, depending on how severe your condition is.